A patient has gained 10 degrees of knee flexion in today’s session. One of the most effective means to maintain these increases in ROM is:

When a patient is given an exercise that addresses a specific goal in a specific stage, but it is too difficult or too easy, recommend an alternative exercise that addresses the same goals. Case 1: Pt. 6 weeks s/p TKA. Pt. in controlled motion. Strength around knee is 4/5. There is no pain, min. edema. Goal is to address hypomobility R knee. Pt. still lacks 10 degrees of extension. Therapist has been supine 90/90 position of hip/knee with A contraction of quadriceps to gain knee extension.(dynamic stretch). 1a. Pt. finds the 90/90 active dynamic stretch too difficult and effortful. Pt. fatigues and is unable to gain extension. Recommend a different exercise that addresses same goals but is slightly less challenging or more stable.  Answer:  1b. Pt. is able to straighten knee to 30 degrees from 0. Hamstring length is normal, but pt. still lacks 5 degrees extension. Recommend an exercise that addresses same goals but is more challenging or more unstable (can be same exercise with challenge added)  Answer:  Case 2: Pt. 4 weeks s/p moderate strain/sprain R ankle lateral ligament/muscle tendons. Controlled motion. Pain 2/10, min. swelling. Strength ankle eversion 3+/5, other motions 4/5. Goal is to address hypermobility (gain stability) of R ankle in WB. Pt. placed in tandem stand with R foot in front of left.   2a. Pt. unable to maintain position. 4 seconds. R ankle. Unstable Recommend a different exercise that addresses same goals but is slightly less challenging or more stable.  Answer:  2b. Pt. finds this too easy. Able to maintain position for 60 seconds, little effort. Recommend an exercise that addresses same goals but is more challenging or more unstable (can be same exercise with challenge added)  Answer:  Case 3: Hip 4 weeks s/p hip THA. Pt. is in controlled motion. Hip AB and Ext 4/5. Pt. has problems with neuromuscular control. Pt. has problems with eccentric control when stand to sit regular height chair 18”. Pt. working on mini squats from partial stand to sit.  3a. Pt. unable to control eccentric descent into chair. Falls into chair. Recommend a different exercise that addresses same goals but is slightly less challenging or more stable.  Answer: 3b: Pt. finds this too easy. Able to perform 10 reps with little effort, good eccentric control. Recommend an exercise that addresses same goals but is more challenging or more unstable (can be same exercise with challenge added)  Answer:     

I have neither received or given any unauthorized assistance on this exam. 

A pt. is performing SLR exercises at home. The patient is able to activate the quad set but needs a little assistance with hip flexion due to weakness.  The patient is using a yoga strap to assist with hip flexion.  The patient is independent in performing the exercise, does not make an errors, just needs the strap to help with hip flexor weakness.  The patient is in which phase of learning?  

A patient with chronic OA/controlled motion of the R knee has difficulty controlling descent of stairs. When the LLE (uninvolved) is stepping down to the next step, the patient has difficulty controlling the flexion of the R knee and must grab on to the rail for support. The best initial exercise to treat this deficit is in the controlled motion phase of recovery is:

You are trying to teach a patient how to perform clamshells. The patient keeps making errors to include rolling backwards, moving the leg into hip flexion rather than Abduction, and moving the feet. After about 5 minutes you tell the patient. “I think that we will try a different exercise that can strengthen the same muscle.”  The best exercise to attempt that the patient can be successful at is:  

A patient post-surgical repair of R Achilles tendon has PROM limitations DF 0/firm; PF 30/firm; inversion/eversion WNL. Pt. is in controlled motion phase, allowed to return to work at child care center and must squat to pick up children. You would prioritize which of the following impairments?

A therapist is working with a patient post TKA. The patient is in the early max protection phase. The therapist asks the patient to hold knee extension at various angles from 0-90 while he applies light resistance. This technique is called:  

Which of the following best describes an open environment for motor learning?

A patient 12 weeks post pelvic fracture is in controlled motion phase of recovery. Pt. is placed in the Thomas test position to stretch R hip flexors. There is still some pain with movement. The best selection of technique to address hypomobility is